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General NPI Number Information
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NPI Number | 1588802151
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Entity Type | Organization
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Legal Business Name | ALLCARE DENTAL & DENTURES
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 7811 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37917
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Country | US
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Telephone | 716-204-4999
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Fax | 716-632-2963
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Provider Business Mailing Address
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Address Line | 8205 MAIN ST SUITE 8
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6053
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Country | US
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Telephone | 716-204-4999
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Fax | 716-632-2963
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT S BATES
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Credential | DDS
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Telephone | 716-204-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8756
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License Number State | TN
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